Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.83 / $407.31 / $3,740.00	Facility		$279.83	$407.31	$3,740.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $192.11 / $236.82 / $305.48	Facility	54	$192.11	$236.82	$305.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.93 / $319.14 / $430.85	Professional		$253.93	$319.14	$430.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $433.71 / $433.71 / $433.71	Professional		$433.71	$433.71	$433.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.99 / $274.19 / $387.12	Professional		$217.99	$274.19	$387.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.85 / $401.87 / $463.58	Facility		$283.85	$401.87	$463.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $307.20 / $401.87 / $617.09	Professional		$307.20	$401.87	$617.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.22 / $528.16 / $528.16	Facility		$323.22	$528.16	$528.16
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $369.72 / $369.72 / $369.72	Facility	54	$369.72	$369.72	$369.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.70 / $418.40 / $611.99	Professional		$299.70	$418.40	$611.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $408.56	Professional		$32.34	$32.34	$408.56
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $280.20 / $409.31 / $610.03	Professional		$280.20	$409.31	$610.03